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Home My WebLink AboutPermit Electrical 2005-07-20Status Issued 225 Fifth Street, Springfietd, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 489 S 32ND ST ASSESSOR'S PARCEL NO.: I7OZ3L340Z8OO PROJECTDESCRIPTION: Servicechange PERMIT NO: COM2005-00940ISSUED: 07t20t2005APPLIED. 07t20t2005EXPIRESt 0U20t2006 VALUE: Springfield TYPE OF WORK: Electrical Work Onty TYPE OF USE: Repair Residential F' Owner: Address: Contractor Type Electrical BOB JENSEN 489 S 32ND ST SPRINGFIELD OR 97478 PhoneNumber: 541-868-1997 Contractor OREGON ELECTRIC SERVICE License r61518 Expiration Date 09t28t2006 Phone 541-343-1681 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 0GilLthtmry cdkptpIfra?h Oc olegon Utility Notification G.n5 b r{0G332-29441. Overlay Dist: rnBrnte.s*h**frffitirilS'tF'ollr ep0od by tfroftsg@rldtl&: f,odficdonfiilcG IhGe rules are set forth REQUIRED PARKING Total: Handicapped: Compact: R-3 VN Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Notes: $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains: Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Pase 1 of2 Value Date Calculated Building/Combination Permit rr.rr.i UAy ptHI0D. It U ILI-rll\ (, Il\ t' (rKlYl.{ ! IVN_I Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00940ISSUED: 07120t2005APPLIED: 07120t2005EXPIRBSz 01120t2006 VALUE: Fee Description + l0o/o Administrative Fee + lYo State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Total Value of Project Date Paid 7t20t05 7120t05 7t20t05 Receipt Number 22005000000000009s0 22005000000000009s0 2200500000000000950 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services I)ivision, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase2 of2 Date Il ees ralo I 225 Fifth Street Springfield, Oregon 97 477 541-:126-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000000950 Date: 0712012005 8:00:30AM Job/Journal Number coM2005-00940 coM2005-00940 coM2005-00940 Description Perm Serv/Fdr 200 amps or less + 7Yo State Surcharge + l0Yo Administrative Fee Amount Due 63.00 4.41 6.30 Item Total:$73.71 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check OREGON ELECTRIC djb 18812 In Person Payment Total: $73.71 -ffi 7t201200s Page I of I llFhIHGFIII.-D 22s ?IFTH STREET . SPRINGFIELD, OR97477 o E L E CTri.I CAL P ERMIT APP LI CATI ON PH:(541)726-3753 . FAX: (541)726-3689 ,* 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder lEt$, City Job Number (Ott|Zdof-eb ?qO Date p .{sq \L)-*:rr LEGAL DESCRIPTION JOB DESCRIPTION Pernrits are non-transferable and if work is $ 106.00 $ 19.00 $s 0.00 e Orego lll'r-$ 63.00 6s*n uti are set 952 n01- $ 75.00 .,,ros llV $125.00 not started ryithin 180 days of iss Suspended for 180 days. 2 Electrical Address Ciry if work is B. ELECTBIC SERVICE EUGEI'IE 0R 9i402 tollow ruias number Supervisor License Number /5 Expiration Date I /-o-7 Constr. Contr, Number 932-234 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or I000 Voits see 'ts" "b"* New Alteration or Extension per panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ I 63.00 $37s.00 oa\li $ 50.00 $ s0.00 $6e00 $ 100.00 $ 43.0U $ 3.00 C. S o f Supervising Electrician D. Cw:oers Name I Address 4s ?: 3z- City E >F pnone 8bt OWNER INSTALLATION The installation is berng made on property I own which is not intended for sale, lease or rent. Owners Signarure: Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 7%o State Surcharge 10% Administrative Fee TOTAL J E $ 50.00 $ 50.00 $ 2s.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4 oo )3-rfInspection Request: 726-3j69 S hared Drive(T: ),Building Forms/Electncal permir App licatio n I -0 3. doc 1. "-0 t-< t7 ExpirationDate lO - ( - gS t{ tlt (.,30 i., rrll; ;.;;.;::i;.:: r ;:l